MERRITT RADIOLOGICAL MEDICAL GROUP INC NPI 1598892861

NPI Information

  • NPI: 1598892861
  • Provider Name: MERRITT RADIOLOGICAL MEDICAL GROUP INC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Address: 526 CHARITY WAY
    MODESTO, CA
    ZIP 95356
  • Phone: (209) 577-9900

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NPI Details

MERRITT RADIOLOGICAL MEDICAL GROUP INC is a diagnostic radiology radiology in Modesto, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MERRITT RADIOLOGICAL MEDICAL GROUP INC NPI is 1598892861. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

526 CHARITY WAY
MODESTO, CA
ZIP 95356
Phone: (209) 577-9900
Fax: (209) 577-1509

The provider's authorized official is Robert J Croutch .
The authorized official title is President and has the following contact phone number (209) 577-9900.

The enumeration date for this NPI number is 2/27/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100G606980MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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